关节病性银屑病并发蛎壳状银屑病1例

发布时间：2019-01-22 16:02

【摘要】：正患者男,33岁。因腰部酸痛、僵硬,肘关节及颈椎关节红肿4个月;周身红斑,伴褐色痂、脱屑及瘙痒2个月就诊。患者4个月前无明显诱因,自觉腰部酸痛、僵硬,不久发现肘关节及颈椎关节红肿,且屈伸困难,同时上举及下蹲活动受限,在当地医院就诊,考虑为"关节炎",给予抗风湿类药物治疗,未见明显好转。2个月前无明显诱因先于背部出现片状红斑,其上可见鳞屑,并且皮损迅速播散至头皮、躯干及四肢,伴瘙痒加重,自服抗组胺药物,无效果,同时上述皮损出现较
[Abstract]:Positive patient, 33 years old. Due to the pain of the waist, the stiffness, the joint of the elbow and the cervical spine were red and swollen for 4 months, and the erythema of the body was accompanied by brown hair, desquamation and itching for 2 months. The patient had no obvious cause before 4 months, and the pain and stiffness of the waist and the joint of the elbow joint and the cervical vertebra were found to be red and swollen, and the flexion and extension was difficult. At the same time, the upper and lower squatting activities were limited, and the treatment was taken at the local hospital, and the treatment of the anti-rheumatic drugs was given in consideration of the "arthritis". No improvement in the skin was seen. There was no obvious cause before 2 months prior to the appearance of a sheet of erythema on the back, which was found to be scaly, and the lesions spread rapidly to the scalp, the trunk and the limbs, and the skin and the skin became more and more itchy, and the anti-histamines were taken out of the skin, and no effect was achieved. At the same time, the above-mentioned lesions appeared.
【作者单位】： 中国医科大学附属第一医院皮肤科;
【分类号】：R758.63

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